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1982268025
JESSICA LUCIANA RUNYAN
MERCED, CA
NPI
1982268025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2019-04-24
Last Update Date
2021-12-15
Business Address
JESSICA LUCIANA RUNYAN
301 E 13TH ST
MERCED, CA 95341-6211
Phone number: 209-381-6874
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Mailing Address
JESSICA LUCIANA RUNYAN
301 E 13TH ST
MERCED, CA 95341-6211
Phone number: 209-381-6874
Copy
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